El Mirador Medical Plaza Pharmacy Inc
NPI 1861504854ActiveOrganization· Pharmacy· Palm Springs, CA
Pharmacy in Palm Springs, California, registered in NPPES in August 2006. The authorized official on file is Ramesh Upadhyayula, President. Medicare paid $12,793 for services to 48 patients in 2024.
Overview
| NPI | 1861504854 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Mar 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHY46465 | CA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (CA); Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 150 across 8 procedure codes |
| Paid by Medicare | $12,793 |
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